Joseph Matthew Thiel

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

060352333 Issued in IL

Practice address

558 West de Koven
Chicago, IL 60607

Phone

(773) 706-1632

NPI assigned

Sep 19, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1114577210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 WEST DE KOVEN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 WEST DE KOVEN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "773-706-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "IL",
            "license": "060352333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.cityofchicago.com",
            "affiliation": "N",
            "address_1": "558 W De Koven St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joseph.thiel@cityofchicago.org",
            "affiliation": "N",
            "address_1": "558 W De Koven St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaspreet Thiara, M.D.
• John Neville Thibault, MD
• Dinah Kate Hamilton Thibeault, M.D.
• Maribel Thiebaud, PHARM D.
• Elizabeth Ann Thiel
• Vanessa Thiel
• Christy Thielen
• Tanya Thielen, PA-C
• James Jeffrey Thielke, PHARMD
• Jordan Thieme

• Intermediate Emergency Medical Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Intermediate Emergency Medical Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.